Provider Demographics
NPI:1164384483
Name:FREEDOM PHOBIA CLINIC PLLC
Entity type:Organization
Organization Name:FREEDOM PHOBIA CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:YODER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMHC, LCPC
Authorized Official - Phone:316-993-1172
Mailing Address - Street 1:421 W RIVERSIDE AVE STE 972
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-0402
Mailing Address - Country:US
Mailing Address - Phone:509-866-6655
Mailing Address - Fax:888-418-6008
Practice Address - Street 1:421 W RIVERSIDE AVE STE 972
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0402
Practice Address - Country:US
Practice Address - Phone:509-866-6655
Practice Address - Fax:888-418-6008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-25
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty